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1154379949
MARY ALICE LACY
SAN DIEGO, CA
NPI
1154379949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 386793)
Enumeration Date
2006-05-04
Last Update Date
2007-07-12
Business Address
MARY ALICE LACY MSN,FNP
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA 92161-0001
Phone number: 858-642-1085
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Mailing Address
MARY ALICE LACY MSN,FNP
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA 92161-0001
Phone number: 858-642-1085
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